Information Collection

Reporting Requirements for Disability-Related Complaints

IC 25125 under ICR 200705-2105-001 · OMB 2105-0551.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0551 can be found here:

Documents and Forms

Document Name Document Type
Form Appendix A to Part Reporting Requirements for Disability-Related Complaints Form
Appendix A to Part Disability Complaint Reporting Form Final Rule for Collection 2105-0551.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Requirements for Disability-Related Complaints	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1320.8(d) 14 CFR 382

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Appendix A to Part 382	Disability Complaint Reporting Form	Final Rule for Collection 2105-0551.pdf		Yes	Yes	Paper Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160	-210	370
Annual IC Time Burden (Hours)	3,238	-5,515	8,753
Annual IC Cost Burden (Dollars)	0	-254,000	254,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.